Hone Health is the better pick if you want the most treatment options and the lowest cost for injections; Fountain TRT is better if you want one predictable, all-inclusive price. Both include labs, both are physician-led, and neither takes insurance. Hone ranks #1 (8.2/10) and Fountain #2 (8.1/10) in our 2026 scoring.
Facts below come from each clinic's own pricing pages, checked September 25, 2026. Full details: Hone review · Fountain review.
Side-by-side
| Hone Health | Fountain TRT | |
|---|---|---|
| Base price | $135/mo membership | $199 per 4 weeks |
| Medication | Extra: injections from $28/mo, cream from $60/mo | Included |
| Prepay discount | Not listed | $167 (12-wk billing) or $150 (48-wk billing) per 4 weeks |
| Labs | Included in membership (50+ biomarker test) | Included (14+ biomarkers) |
| Options | Injections, cream, troches, enclomiphene, clomiphene | Injections, cream, enclomiphene |
| Prescribers | Physicians (Broad Health P.A. and affiliates) | Urologist-led team (Dr. Doron Stember) |
| Insurance | No; HSA/FSA accepted | No |
| States | Check Hone's availability page | About 25 states |
| Trustpilot (Sep 2026) | 4.8/5, 12,362 reviews | 4.4/5, 316 reviews |
Sources: Hone fee breakdown, Hone TRT costs, Fountain TRT, Fountain FAQ, Trustpilot pages for Hone and Fountain.
Price: it depends on your treatment
The two clinics price in different ways, so compare the annual totals (our arithmetic, starting prices, before any dose changes):
| Scenario | Hone Health | Fountain TRT |
|---|---|---|
| Injections, pay as you go | ($135 + $28) × 12 ≈ $1,956/yr | $199 × 13 ≈ $2,587/yr |
| Cream, pay as you go | ($135 + $60) × 12 ≈ $2,340/yr | $199 × 13 ≈ $2,587/yr |
| Enclomiphene, pay as you go | ($135 + $42) × 12 ≈ $2,124/yr | $199 × 13 ≈ $2,587/yr |
| Any option, Fountain 48-week prepay | — | $150 × 13 ≈ $1,950/yr |
Hone's medication prices are "from" figures and can rise if you need more medication; Fountain's price doesn't change with the delivery method. If you're willing to prepay 48 weeks, Fountain's all-in cost matches Hone's cheapest scenario. If you want to pay month to month, Hone is generally cheaper. More in TRT clinic cost in 2026.
Treatment options
Hone has the edge. Beyond injections, cream and enclomiphene (which both offer), Hone adds testosterone troches and clomiphene citrate, plus anastrozole, and a long list of non-HRT medications including sermorelin (Hone medication list). Fountain keeps it simpler, with anastrozole and tadalafil as optional add-ons.
Medical oversight and labs
Both score 9/10 on oversight in our method. Hone's consults are with physicians through Broad Health P.A., and its biomarker test covers 50+ markers. Fountain's team is led by a board-certified urologist and monitors 14+ biomarkers with Labcorp or at-home collection. Both confirm low testosterone with labs before prescribing, consistent with the Endocrine Society's guidance on diagnosis (Endocrine Society).
Coverage and payment
Fountain's FAQ lists about 25 states. Hone publishes a state list in its help center, which we couldn't load, so check both at sign-up. Hone accepts HSA/FSA cards, a point in its favor if you have pre-tax funds. Neither bills insurance (alternatives).
User sentiment
Hone's Trustpilot score is higher and based on far more reviews. The most common complaint about Hone is that the membership and medication costs weren't clear upfront. For Fountain, complaints center on appointment waits and the 4-week billing cycle. Neither clinic's reviews suggest a pattern of unsafe care, but both have cost-clarity complaints, so read the terms.
Getting started at each
Hone: sign up for the membership, complete a 50+ biomarker test at home or at a lab, then have a telehealth consult with a physician. If treatment isn't appropriate, Hone says it refunds the initial $135 fee (Hone).
Fountain: complete an online assessment, get labs at Labcorp or with at-home collection, then a 20-minute video visit. Fountain says you can start within days if appropriate, with 2-day shipping, and pay nothing if you don't qualify (Fountain).
The processes are similar. The biggest practical difference is what you commit to upfront: Hone's membership starts billing monthly, while Fountain's lowest prices require prepaying 12 or 48 weeks.
Scenario picks
| If you... | Better fit |
|---|---|
| Want injections at the lowest month-to-month cost | Hone |
| Want cream or enclomiphene and will prepay 48 weeks | Fountain |
| Want to use HSA/FSA funds | Hone |
| Want a price that won't change if your treatment changes | Fountain |
| Want troches or clomiphene | Hone |
| Live outside Fountain's ~25 states | Hone (check its state list) |
Which should you choose?
Choose Hone Health if:
- You want the widest treatment menu, including troches or clomiphene
- You're on injections and want the lowest month-to-month total
- You want to pay with HSA/FSA
Choose Fountain TRT if:
- You want one price that doesn't change with your treatment
- You'll prepay for the lowest effective cost
- You like a urologist-led team and live in a covered state
Safety note
Both clinics prescribe testosterone only after labs and a clinical evaluation, which is how it should be. TRT carries real risks, including increased blood pressure (FDA class-wide warning), higher red blood cell counts, reduced fertility and worsening sleep apnea (FDA, Mayo Clinic). See TRT side effects and risks.
Still deciding? See the full ranking of online TRT clinics or compare Henry Meds vs Maximus.